SearchKentucky1223S0112X

Chad Street, DMD, MD

NPI 1992715288 · on the registry since 2006 · sole proprietor

Practice

Address
129 Loraine St
Pikeville, KY 41501
Phone
(606) 432-9639
Fax
(606) 432-9689

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
204E00000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky